I've seen the new treatment called venaseal. Is it for spider veins too? (Photo)

Or is there a better more affordable treatment for spider veins? They all seem to cost so much. I have horrible legs.

Doctor Answers 9

Spider vein treatment - is there a place for VenaSeal?

Spider veins are small blue or red veins that appear very close to the surface of the skin - they don't typically bulge outward and are much smaller than varicose veins.  The best way to treat spider veins is sclerotherapy (injection of the veins).  External laser is sometimes used, as is VeinGogh, but most vein experts agree that sclerotherapy is best.  VenaSeal is a procedure that is used to treat reflux (backwards flow) in veins beneath the skin surface that typically cause varicose veins.  VenaSeal might be used in some patients to treat reflux, if present, in someone who might eventually have their spider veins treated, but VenaSeal is not a treatment for spider veins per se.   Sclerotherapy, by the way, is considerably less expensive than VenaSeal.  

Wouldn't recommend Venaseal for Spider Veins

Venaseal is a treatment used for larger, bulging varicose veins. It is a form of super glue that seals off the diseased vein permanently. Sclerotherapy or VeinGogh would be a better plan for spider veins.

Kevin Haney, MD
Rogers Physician
4.5 out of 5 stars 4 reviews

Venaseal not for spider veins

Venaseal is for large superficial veins called saphenous veins. Spider veins associated with saphenous reflux can be improved with venaseal ,but generally sclerotherapy is the treatment of choice for spider veins. 

Ivan Brooks, MD
Beverly Hills Physician
5.0 out of 5 stars 10 reviews

Venaseal not for spiders

Venaseal is like crazy glue that closes off larger veins with venous insufficiency. It is not for spider veins.

Susan Fox, DO
Hollywood Phlebologist
5.0 out of 5 stars 5 reviews

Venaseal is not for spider veins.

Venaseal is not meant to treat spider veins.  It is meant to glue shut the larger veins that are the actual source of the reflux that typically then lead to spider veins.  For spider veins, cosmetic sclerotherapy is best usually with STS or asclera (polidocanol).

Aaron Shiloh, MD
Philadelphia Physician
5.0 out of 5 stars 5 reviews

Venaseal and spider veins

Venaseal is not intended to treat spider veins. Venaseal is used to treat reflux in the saphenous system. Many people who have spider veins also have saphenous reflux. However, you should not expect Venaseal treatment to improve your spider veins.  The best treatment for spider veins is sclerotherapy.  Certain laser treatments are also effective for spider veins.  I always recommend seeing a provider who performs a variety of different treatments. That is the best way to obtain objective information regarding the best method for your particular case, rather than just a single option if that is all that a particular provider offers. 

Jeffrey Gosin, MD, FACS
Atlantic City Vascular Surgeon
5.0 out of 5 stars 2 reviews

Venaseal vs. Sclerotherapy


The cheapest treatment for spider veins will be sclerotherapy or laser.  Having said this, your treatment depends on whether you have an underlying issue causing your veins or not.  If you have associated symptoms such as fatigue, heaviness, and general leg discomfort, you should first obtain an ultrasound study to assess your underlying anatomy.

Venaseal is a new FDA approved procedure that is used to treat underlying pathology, it is not used for spider vein treatment.  Good luck.

I've seen the new treatment called venaseal. Is it for spider veins too? (Photo)

Venaseal is for varicose veins treatment. it doesnt require local anaesthetic or compression stockings post treatment. It is currently not used for thread vein treatment

Sameh Dimitri, MD
London Vascular Surgeon

VenaSeal for venous insufficiency in #Williamsville, NY

The venaSeal system is not for the reticular complexes that you are showing in the picture. However, it is a system that is FDA approved in the US to be an alternative to the VNUS Closure radiofrequency device or the endovenous laser device or the ClariVein mechanochemical device to treat venous insufficiency in varicose segments or for venous insufficiency in long segment superficial veins, e.g. great saphenous vein or small saphenous vein. 

The FDA reviewed data for the VenaSeal system: Data supporting the FDA approval included results from three clinical studies sponsored by the manufacturer. The U.S. clinical study assessed the safety and effectiveness of the VenaSeal system in 108 participants compared to radio-frequency ablation in 114 participants. The trials showed the device to be safe and effective for vein closure for the treatment of symptomatic superficial varicose veins of the legs.

The FDA clearance document states "The VenaSeal system should not be used in patients who have a known hypersensitivity to the VenaSeal adhesive, acute inflammation of the veins due to blood clots or acute whole-body infection. Adverse events observed in the trial—and generally associated with treatments of this condition—included vein inflammation (phlebitis) and burning or tingling ...

We are currently evaluating this product in our practice as it is not covered by insurance.

dr Karamanoukian
#RealSelf100 Member

Hratch Karamanoukian, MD, FACS
Buffalo Phlebologist
4.8 out of 5 stars 41 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.